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1467740001
LARA DEVERAUX
LAYTON, UT
NPI
1467740001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6140478-3501)
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
-- LARA DEVERAUX LCSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
-- LARA DEVERAUX LCSW
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
Copy
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